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Single-center Haemodialysis Experience in India During COVID-19

INTRODUCTION: Since COVID-19 has been announced as a pandemic, outcome of dialysis patients in terms of morbidity and mortality from India is lacking. We studied the clinical, epidemiological features of COVID-19 along with outcome in terms of mortality in our dialysis cohort. METHODS: Data of End-S...

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Autores principales: Mahapatra, Himansu Sekhar, Balakrishnan, Muthukumar, Purusunani, Lalit, Kumar, Adarsh, Binoy, Renju, Singh, Mansi, Gautam, Abhisek, Inamdar, Neeraj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121719/
https://www.ncbi.nlm.nih.gov/pubmed/35603111
http://dx.doi.org/10.4103/ijn.IJN_230_20
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author Mahapatra, Himansu Sekhar
Balakrishnan, Muthukumar
Purusunani, Lalit
Kumar, Adarsh
Binoy, Renju
Singh, Mansi
Gautam, Abhisek
Inamdar, Neeraj
author_facet Mahapatra, Himansu Sekhar
Balakrishnan, Muthukumar
Purusunani, Lalit
Kumar, Adarsh
Binoy, Renju
Singh, Mansi
Gautam, Abhisek
Inamdar, Neeraj
author_sort Mahapatra, Himansu Sekhar
collection PubMed
description INTRODUCTION: Since COVID-19 has been announced as a pandemic, outcome of dialysis patients in terms of morbidity and mortality from India is lacking. We studied the clinical, epidemiological features of COVID-19 along with outcome in terms of mortality in our dialysis cohort. METHODS: Data of End-Stage Kidney Disease (ESKD) patients who were admitted in COVID-19 designated hospital block as positive and suspected patients from 1(st) April 2020 to 31(st) July 2020 was retrieved. Data about epidemiological characteristics, clinical features, mortality outcomes of COVID-19 positive and negative patients were analyzed. RESULTS: A total of 97 ESKD patients were admitted during the study period, of which 44 (45.4%) and 53 (54.6%) patients were found to be COVID-19 positive and negative respectively. The mean age of COVID positive patients was 46 years with 54.5% being female. Only three patients (6.8%) remained asymptomatic throughout the course of illness. Amongst COVID-19 positive, 20 (45.45%) were severely ill while 18 (40.9%) were having mild illnesses. Breathlessness (65.9%) and fever (61.4%) were common symptoms. The death occurred in 17 (38.6%) and 25 (47.1%) COVID-19 positive and negative ESKD patients respectively. 14 (82.3%) patients who expired amongst COVID-19 positive were having severe illness and significantly more were associated with negligible residual renal function. CONCLUSIONS: Breathlessness and fever were common symptoms amongst COVID-19 ESKD patients. Very few patients remained asymptomatic in our cohort and significantly more mortality is observed in severely ill patients and those with negligible residual renal function.
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spelling pubmed-91217192022-05-21 Single-center Haemodialysis Experience in India During COVID-19 Mahapatra, Himansu Sekhar Balakrishnan, Muthukumar Purusunani, Lalit Kumar, Adarsh Binoy, Renju Singh, Mansi Gautam, Abhisek Inamdar, Neeraj Indian J Nephrol Original Article INTRODUCTION: Since COVID-19 has been announced as a pandemic, outcome of dialysis patients in terms of morbidity and mortality from India is lacking. We studied the clinical, epidemiological features of COVID-19 along with outcome in terms of mortality in our dialysis cohort. METHODS: Data of End-Stage Kidney Disease (ESKD) patients who were admitted in COVID-19 designated hospital block as positive and suspected patients from 1(st) April 2020 to 31(st) July 2020 was retrieved. Data about epidemiological characteristics, clinical features, mortality outcomes of COVID-19 positive and negative patients were analyzed. RESULTS: A total of 97 ESKD patients were admitted during the study period, of which 44 (45.4%) and 53 (54.6%) patients were found to be COVID-19 positive and negative respectively. The mean age of COVID positive patients was 46 years with 54.5% being female. Only three patients (6.8%) remained asymptomatic throughout the course of illness. Amongst COVID-19 positive, 20 (45.45%) were severely ill while 18 (40.9%) were having mild illnesses. Breathlessness (65.9%) and fever (61.4%) were common symptoms. The death occurred in 17 (38.6%) and 25 (47.1%) COVID-19 positive and negative ESKD patients respectively. 14 (82.3%) patients who expired amongst COVID-19 positive were having severe illness and significantly more were associated with negligible residual renal function. CONCLUSIONS: Breathlessness and fever were common symptoms amongst COVID-19 ESKD patients. Very few patients remained asymptomatic in our cohort and significantly more mortality is observed in severely ill patients and those with negligible residual renal function. Wolters Kluwer - Medknow 2022 2022-01-05 /pmc/articles/PMC9121719/ /pubmed/35603111 http://dx.doi.org/10.4103/ijn.IJN_230_20 Text en Copyright: © 2022 Indian Journal of Nephrology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Mahapatra, Himansu Sekhar
Balakrishnan, Muthukumar
Purusunani, Lalit
Kumar, Adarsh
Binoy, Renju
Singh, Mansi
Gautam, Abhisek
Inamdar, Neeraj
Single-center Haemodialysis Experience in India During COVID-19
title Single-center Haemodialysis Experience in India During COVID-19
title_full Single-center Haemodialysis Experience in India During COVID-19
title_fullStr Single-center Haemodialysis Experience in India During COVID-19
title_full_unstemmed Single-center Haemodialysis Experience in India During COVID-19
title_short Single-center Haemodialysis Experience in India During COVID-19
title_sort single-center haemodialysis experience in india during covid-19
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121719/
https://www.ncbi.nlm.nih.gov/pubmed/35603111
http://dx.doi.org/10.4103/ijn.IJN_230_20
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